Tissue Expander Fills

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Question:

We did a breast reconstruction with tissue expander three weeks ago and are now starting the expansion process. What is the code for doing tissue expander fills?

Answer:

The tissue expansion process is included in the global surgical package for the breast reconstruction CPT code (eg, 19357). You may report an established E&M code (9921x) for this service, depending on your documentation, once you are out of the global period.